NPI | 1437112075 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY EARL O'HARA President 785-825-4605 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5313) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2020-08-22 |